| A Division Of Atlantic Dental Care | |
|
3410 County St Portsmouth VA 23707-3205 | |
| (757) 393-2568 | |
| (757) 399-5069 |
| Full Name | A Division Of Atlantic Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3410 County St, Portsmouth, Virginia |
| Authorized Official Name and Position | Elliott Althouse (DENTIST) |
| Authorized Official Contact | 7573932568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Division Of Atlantic Dental Care 3410 County St Portsmouth VA 23707-3205 Ph: (757) 393-2568 | A Division Of Atlantic Dental Care 3410 County St Portsmouth VA 23707-3205 Ph: (757) 393-2568 |
| NPI Number | 1245576677 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 07/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245576677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401005669 (Virginia) | Primary |
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